I personal No. _____________ Rank __________ Name ___________________ hereby authorise NGIF/ NAVPAY, in the event of my becoming Non effective in Indian Navy that for any reason, Retirement or Invalidment or mark run to pay Naval Group Insurance Fund on behalf, an amount equivalent to the Motor Car/Scooter/Personal Computer advance outstanding in my loan account Fund and as intimated by NGIF/NAVPAY out of my DSOP/AFPP Fund account, encasement of leave, DCRG/ Terminal Benefit balance as and when such DSOP/AFPP Fund Account or IRLA is finalised or adjust against Survival Benefits/ NGIS benefits, as applicable.

2.

I, hereby certify that a fresh certificate will be rendered as and when a change in the particulars of Next of Kin takes place.

(Signature & designation of the Borrower)

Name ______________________________

Rank ________________ No. ____________

Witnesses :-

(Note: Witness who ever is signing the letter of authorisation, should retire after the borrower)